요양병원 간호사의 근거기반 신체억제대 지침 이행에 영향을 미치는 요인
Factors Influencing Nurses’ Implementation of Evidence-based Restraint Use in Long-term Care Hospitals
0
조회
0
다운로드
9
인용
0
참고문헌
키워드
초록
Purpose: The purposes of this study were to identify nurses' attitude toward use of physical restraints, competence and organizational culture of evidence based practice (EBP) and implementation of evidence based restraint use in long-term care hospitals and to explore associated factors. Methods: This study was a cross-sectional descriptive study in which self-administered questionnaires were collected from 210 nurses from 21 long-term care hospitals. Data were analyzed using descriptive statistics, t-test, ANOVA, and standard multiple regression. Results: Nursing staff showed moderate level in their attitudes toward restraints use, competence and organizational culture of EBP. Standard multiple regression analysis showed that the significant factors affecting implementation of evidence based restraint use were organizational culture of EBP, nurses' competence and their work position. These factors explained 34.0% of variance. Conclusion: The findings from this study suggest that organizational culture toward EBP and nursing staff competence are the important attributes which need to be enhanced by systematic support at the organizational level and educational programs at the individual level.
Abstract
Purpose: The purposes of this study were to identify nurses' attitude toward use of physical restraints, competence and organizational culture of evidence based practice (EBP) and implementation of evidence based restraint use in long-term care hospitals and to explore associated factors. Methods: This study was a cross-sectional descriptive study in which self-administered questionnaires were collected from 210 nurses from 21 long-term care hospitals. Data were analyzed using descriptive statistics, t-test, ANOVA, and standard multiple regression. Results: Nursing staff showed moderate level in their attitudes toward restraints use, competence and organizational culture of EBP. Standard multiple regression analysis showed that the significant factors affecting implementation of evidence based restraint use were organizational culture of EBP, nurses' competence and their work position. These factors explained 34.0% of variance. Conclusion: The findings from this study suggest that organizational culture toward EBP and nursing staff competence are the important attributes which need to be enhanced by systematic support at the organizational level and educational programs at the individual level.
참고문헌 (30)
- David Evans, "Patient injury and physical restraint devices: a systematic review", Journal of Advanced Nursing, 41(3), pp.274~282 (2003), Wiley-Blackwell[DOI]
- Berzlanovich AM, "Deaths due to physical restraint", Deutsches Arzteblatt International, 109(3), pp.27~32 (2012)[DOI]
- 유아름, "노인요양시설 입소 노인의 신체 억제대 사용과 관련 요인", 보건경제와 정책연구, 22(1), pp.39~58 (2016), 한국보건경제정책학회
- Hedi Hofmann, "Characteristics of nursing home residents and physical restraint: a systematic literature review", Journal of Clinical Nursing, 23(21-22), pp.3012~3024 (2014), Wiley-Blackwell[DOI]
- "Standard for geriatric hospital accreditation" (2016)[URL]
- Therese Leufer, "Evidence-based practice: improving patient outcomes", Nursing Standard, 23(32), pp.35~39 (2009), RCN Publishing Ltd.[DOI]
- 이지은, "간호사의 정보자원 접근 및 활용정도와 근거중심실무 장애요인 및 역량", 성인간호학회지, 23(3), pp.255~266 (2011), 성인간호학회
- Jeong H, "Factors influencing implementation of evidencebased falls management in geriatric hospital nurses", master, pp.2015
- "Guideline for reducing physical restraints at geriatric hospital" (2013)[URL]
- "Manual for human rights at long term care facilities" (2013)[URL]
- Park MH, "Best practice guide for reducing physical restraints and enhancing safety", pp.102~ (2014), Jungdam Media
- 장인숙, "간호조직의 지식관리, 간호사의 근거기반실무 신념 및역량이 근거기반 의사결정에 미치는 영향", 성인간호학회지, 28(1), pp.83~94 (2016), 성인간호학회[DOI]
- Ellen Fineout-Overholt, "Transforming Health Care from the Inside Out: Advancing Evidence-Based Practice in the 21st Century", Journal of Professional Nursing, 21(6), pp.335~344 (2005), Elsevier BV[DOI]
- 황지인, "병원 간호사들의 근거활용 경험 및 장애요소와 촉진요소에 대한 탐색", 간호행정학회지, 19(2), pp.292~303 (2013), 간호행정학회[DOI]
- Scherer YK, "The nursing dilemma of restraints", Journal of Gerontological Nursing, 17(2), pp.14~17 (1991)
- 여정민, "억제대 사용에 대한 간호사 교육프로그램의 효과", Journal of Korean Academy of Nursing, 36(4), pp.532~541 (2006), 한국간호과학회
- Stevens KR, "Essential competencies for evidence-based practice in nursing", pp.30~ (2005), University of Texas Health Science Center Academic Center for Evidence-Based Practice
- Bernadette Mazurek Melnyk, "Evidence-Based Practice: Step by Step: The Seven Steps of Evidence-Based Practice", AJN, American Journal of Nursing, 110(1), pp.51~53 (2010), Ovid Technologies (Wolters Kluwer Health)[DOI]
- "Promoting safety:alterative approaches to the use of restraints" (2012)[URL]
- Park M, "Changing the practice of physical restraint use in acute care", Journal of Gerontological Nursing, 33(2), pp.9~16 (2007)
- 김신미, "노인시설 간호제공자의 신체적 억제대에 대한 인식, 태도 및 지식에 대한 연구", 한국간호교육학회지, 15(1), pp.62~71 (2009), 한국간호교육학회
- Yoon H, "Recognition and attitude of nurse & assistance nurse for physical restraint application in geriatric hospital", master, pp.2011
- Hamers JP, "Why do we use physical restraints in the elderly?", Zeitschrift für Gerontologie und Geriatrie, 38(1), pp.19~25 (2005), Springer Nature[DOI]
- 김연숙, "간호사의 근거중심실무역량에 대한 영향요인", 간호행정학회지, 21(2), pp.143~153 (2015), 간호행정학회[DOI]
- Suen LK, "Use of physical restraints in rehabilitation settings: staff knowledge, attitudes and predictors", Journal of Advanced Nursing, 55(1), pp.20~28 (2006)[DOI]
- 임경춘, "상급종합병원 간호사의 근거기반실무에 대한 지식과 태도 및 수행", 임상간호연구, 17(3), pp.375~387 (2011), 병원간호사회
- 조명숙, "일개 상급종합병원 간호사의 근거기반실무(Evidence-Based Practice) 촉진요인에 대한 인식", 기본간호학회지, 18(3), pp.300~309 (2011), 기본간호학회
- 김은경, "병원 간호사의 근거중심 노인통증관리 지침에 대한 인지도와 수행도", 성인간호학회지, 24(1), pp.20~30 (2012), 성인간호학회
- 신문주, "의료기관 인증제도가 요양병원의 조직문화, 직무만족, 경영성과 및 환자안전에 미치는 영향-부산지역을 중심으로-", 디지털융복합연구, 12(10), pp.455~466 (2014), 한국디지털정책학회[DOI]
- 박현영, "임상간호사의 근거기반실무 실행 구조모형", Journal of Korean Academy of Nursing, 46(5), pp.697~709 (2016), 한국간호과학회